2007 johns hopkins bloomberg school of public health section c global burden
TRANSCRIPT
2 2007 Johns Hopkins Bloomberg School of Public Health
Global Smoking Prevalence
Source: adapted by CTLT from The Tobacco Atlas (2006).Source: adapted by CTLT from The Tobacco Atlas. (2006).
3 2007 Johns Hopkins Bloomberg School of Public Health
Cigarette Consumption in China (1952–1996)
Source: adapted by CTLT from The Tobacco Atlas (2002).
Average Number of Manufactured Cigarettes Smokedper Man per Day in China, 1996 (Smokers and Nonsmokers Combined)
4 2007 Johns Hopkins Bloomberg School of Public Health
Cigarette Consumption in Poland (1923–2000)
Source: adapted by CTLT from Zatonski, et al. (2004).
Average Number of Manufactured Cigarettes Smokedper Man per Day in Poland (Smokers and Nonsmokers Combined)
5 2007 Johns Hopkins Bloomberg School of Public Health
Burden of Tobacco Deaths Shifting
Source: adapted by CTLT from Peto, R. and Lopez, A. (2001).
2000 2030
Developed 2 ~3
Developing ~2 ~7
World Total 4 ~10
One in two long-term smokers killed by their addiction
Half of deaths in middle age (35-69)
Annual World Tobacco Deaths (in Millions)
6 2007 Johns Hopkins Bloomberg School of Public Health
Source: The Tobacco Atlas. (2002). Permission granted.
Smokers killedin middle age lose more
than 20 years of life expectancy.
womendeveloping countries
0.4 million
womenindustrialized
countries0.6 million
menindustrialized
countries1.8 million
mendevelopingcountries2.0 million
Annual deathsPremature deathsfrom smokingworldwide
2000
total4.8 million
men3.8 million
women1.0 million
The Global Tobacco Health Burden
Single most important cause of preventable deaths in the world
Projected to be the leading cause of death by 2020s—one in eight deaths
7 2007 Johns Hopkins Bloomberg School of Public Health
The Global Tobacco Health Burden
70% of tobacco deaths in the 2020s will be in developing countries (DC)
8 2007 Johns Hopkins Bloomberg School of Public Health
Image source: adapted by CTLT from The Tobacco Atlas. (2006).
The Global Tobacco Burden—Women
Closing gender gap—over 236 million women smoke globally
Only ≈ 3% of women in Southeast Asia smoke cigarettes
High exposure to secondhand smoke
9 2007 Johns Hopkins Bloomberg School of Public Health
Source: adapted by CTLT from The World Bank. (1999). Calculations based on the World Health Organization. (1997).
The Global Tobacco Burden—Women
Estimated Smoking Prevalence by Gender and Number of Smokers in Populations Aged 15 or More, by World Bank Region, 1995World Bank Region Smoking Prevalence (%) Total Smokers
Males Females OverallMillions
Percentage of
Smokers
East Asia and Pacific 59 4 32 401 35
Eastern Europe and Central Asia 59 26 41 148 13
Latin America and Caribbean 40 21 30 95 8
Middle East and North Africa 44 5 25 40 3
South Asia (cigarettes) 20 1 11 86 8
South Asia (bidis) 20 3 12 96 8
Sub-Saharan Africa 33 10 21 67 6
Low/middle income 49 9 29 933 82
High income 39 22 30 209 18
World 47 12 29 1,142 100
Note: Numbers have been rounded
10 2007 Johns Hopkins Bloomberg School of Public Health
The Global Tobacco Burden—Youth
Every day 80,000 to 100,000 youths become regular smokers
One-fifth of young people begin before they are ten years old
High exposure to secondhand smoke
Predicted to kill 250 million children and adolescents alive today
Source: The Tobacco Atlas. (2006), GYTS Collaborative Group. (2002).
11 2007 Johns Hopkins Bloomberg School of Public Health
Global Youth Tobacco Survey (GYTS)
Source: adapted by CTLT from GYTS Collaborative Group. (2002).
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The Global Tobacco Burden—the Poor
Source: adapted by CTLT from The World Bank. (1999).
13 2007 Johns Hopkins Bloomberg School of Public Health
The Global Tobacco Burden—the Poor
Source: adapted by CTLT from CDC—MMWR. (Nov 11, 2005). 54(44); 1121–1124.
14 2007 Johns Hopkins Bloomberg School of Public Health
Economic Tradeoffs for the Smoker
Source: The Tobacco Atlas. (2006). Permission granted.
15 2007 Johns Hopkins Bloomberg School of Public Health
Cigarette Consumption in the U.S. (1900–2000)
Source: adapted by CTLT from U.S. Surgeon General’s Report. (2000).
16 2007 Johns Hopkins Bloomberg School of Public Health
Summary
Both active and passive smoking are deadly
Single most important cause of preventable deaths in the world
Unless effective measures are implemented to prevent young people from smoking, and to help current users quit, tobacco will kill one billion people in the 21st century